This type of pain has also been called geniculate neuralgia or nervus intermedius neuralgia. The nervus intermedius is a small branching nerve from the facial nerve. It is a severe, shooting, sharp, stabbing, quickly occurring pain deep in the ear canal or around the ear, and can sometimes radiate to the back of the head on the same side. The pain lasts a few seconds to minutes. It can be triggered by stimulation of an area in the back wall of the ear (auditory) canal and/or the area around the ear (periauricular region).
Glossopharyngeal neuralgia is often described as sharp, stabbing, electrical pain deep in the ear, and in the back of the throat, especially with swallowing. Geniculate neuralgia (nervus intermedius neuralgia) is also deep in the ear, but lacks the pain in the back of the throat. In addition, there is often some additional discomfort on the same side of the ear pain behind the ear or in the back of the head for some patients.
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